Provider Demographics
NPI:1205618972
Name:FERRON, DANIELLE ANN (PT, DPT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ANN
Last Name:FERRON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 SNAPPS MILL RD
Mailing Address - Street 2:
Mailing Address - City:SPOUT SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24593-9543
Mailing Address - Country:US
Mailing Address - Phone:804-833-2460
Mailing Address - Fax:
Practice Address - Street 1:1175 SNAPPS MILL RD
Practice Address - Street 2:
Practice Address - City:SPOUT SPRING
Practice Address - State:VA
Practice Address - Zip Code:24593-9543
Practice Address - Country:US
Practice Address - Phone:804-833-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202909225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist